在医生中冠状动脉疾病和其他心血管疾病
Chad Wanishsawad1, Siriwan Tangjitgamol2, Wasan Udayachalerm1
1Cardiology Center, MedPark Hospital, Bangkok, Thailand.
Asian cardiovascular & thoracic annals
|December 26, 2023
概括
心血管疾病 (CVD) 影响了超过一半的泰国医生,冠状动脉疾病 (CAD) 影响了11.2%. 关键的危险因素包括年龄,男性性别,糖尿病和冠状动脉分数.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 公共卫生 公共卫生
背景情况:
- 心血管疾病 (CVD) 在全球范围内是一个重大的健康问题.
- 评估医生中心血管疾病和冠状动脉疾病 (CAD) 患病率对于职业健康至关重要.
- 了解相关风险因素有助于制定有针对性的预防策略.
研究的目的:
- 确定泰国医生中心血管疾病和CAD的流行率.
- 为了确定在这个人群中使用的心脏检测模式.
- 调查与泰国医生的CAD相关的风险因素.
主要方法:
- 从1231名参与"拯救医生心脏"项目 (2022年2月至10月) 的泰国医生收集的数据.
- 收集的信息包括个人健康状况,家族病史,生活方式因素 (饮食,运动,压力),BMI和实验室/心脏检测结果.
- 统计分析发现了CAD的独立风险因素.
主要成果:
- 在医生中,心血管疾病的患病率为51.7%,而CAD的患病率为11.2%.
- 高血压 (46.3%),糖尿病 (30.5%) 和脂质失调 (75.8%) 的发病率很高.
- 确定了独立的CAD风险因素:年龄较大,男性性别,糖尿病,以及中度/广泛的冠状动脉 (CAC) 评分.
结论:
- 泰国医生表现出心血管疾病 (51.7%) 和CAD (11.2%) 的高患病率.
- 老年,男性性别,糖尿病和显著的CAC分数是CAD的独立预测因素.
- 面临风险的医生需要改变生活方式,并进行适当的心脏查.
相关概念视频
01:18Cardiovascular Drugs: Classification based on Therapeutic Indications
2.9K
Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However,...
2.9K
01:17Ischemic Heart Disease: Overview
1.3K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
1.3K
01:27Psychoneuroimmunology: Cardiovascular Disease
31
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
31
01:23Assessment of the Cardiovascular System I: Subjective Data
343
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
343
01:17Other Pulmonary Disorders
843
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
843
01:20Exercise and Cardiovascular Response
820
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
820